Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dong Sup Lee

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1023705506

Dong Sup Lee is a Student in an Organized Health Care Education/Training Program in Brea, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

446 W Central Ave
Brea, CA 92821-3004
Phone: (804) 928-4695
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 108937 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1023705506
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 24, 2023
Last updated in NPPESJuly 11, 2023
Certification dateJuly 11, 2023
Mailing address446 W Central Ave, Brea, CA 92821-3004

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